Printer service request form

All fields marked * are required.

This repair is at *

A residential address (residential client) A residential address (business client) A business address

Company name *

First name *

Last name *

Phone *

Extension

Email *

Repair location address *

Street address *

Suite / apt #

City *

Province *

Postal code *

Printer brand *

Specify brand *

HP printer family *

Specify HP family *

Printer model *

Describe the issue *

Additional comments

We use the information in this form only to handle your service request: to contact you, schedule and carry out the service, and invoice it. It is kept by The Printer Doctor and may be stored by our service providers outside Quebec and Canada. You can ask to see or correct it at any time. See our Privacy Policy.

Printer service request form

VANCOUVER

CALGARY

OTTAWA

MONTREAL